Organization
THE CENTER FOR ADVANCED EYE CARE
Active
Other names
The Cntr for Advanced Eye
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN KORNBLUM (OFFICE ADMINISTRATOR)
(864) 627-0224
Entity
Organization
Contact information
Practice address
7 POINTE CIR, GREENVILLE, SC 29615-3505
(864) 627-0224
(864) 329-1401
Mailing address
7 POINTE CIRCLE, GREENVILLE, SC 29615-3505
(864) 627-0224
(864) 329-1401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14122
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2040
—
SC
Enumeration date
08/13/2006
Last updated
09/09/2008
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